PER Partners provides AI-driven software that integrates with existing healthcare IT systems to automate claims processing, eligibility verification, prescription management, and fraud detection. By delivering fast, reliable results without requiring workflow changes, the platform helps insurers and providers cut millions in costs, improve financial performance, and allocate more resources to patient care.
Funding
Funding not disclosed
Founders
Product
Problem
Healthcare providers and insurers face high operational costs, inefficient workflows, and significant financial losses due to fraud and abuse, leading to reduced resources for patient care.
Solution
PER Partners delivers AI-driven software that integrates with existing healthcare information systems to automate claims processing, eligibility verification, prescription management, and fraud detection. The platform analyzes large volumes of clinical and financial data to identify anomalies, streamline routine tasks, and generate actionable insights without requiring changes to current workflows. By providing consistent, rapid results, the solution helps providers reduce expenses, improve financial performance, and allocate more resources to patient treatment. The AI models continuously learn from new data, enhancing accuracy over time and supporting regulatory compliance.
Target Audience
Primary customers are health insurers, hospital finance departments, and large healthcare networks seeking to lower operational costs and mitigate fraud risk.
Features
- AI-powered claims validation that flags inconsistencies and potential fraud in real time
- Automated eligibility checks for insured patients, reducing manual verification effort
- Prescription analytics that detect abnormal prescribing patterns and support medication safety
- Seamless integration layer that works with existing hospital and insurer IT systems without replacement
- Scalable cloud architecture capable of processing millions of transactions daily
- Continuous model training to adapt to evolving fraud schemes and regulatory changes